Martha Ross Kronstedt, LCSW, LADAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09303 Issued in NM

Practice address

1501 San Pedro Dr SE
Social Work (Mail Code 122-H)
Albuquerque, NM 87108-5153

Phone

(505) 265-1711

Fax

(505) 222-3654

NPI assigned

Aug 1, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1386076362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO DR SE",
            "address_2": "SOCIAL WORK (MAIL CODE 122-H)",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085153",
            "telephone_number": "505-265-1711",
            "fax_number": "505-222-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO DR SE",
            "address_2": "SOCIAL WORK (MAIL CODE 122-H)",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085153",
            "telephone_number": "505-265-1711",
            "fax_number": "505-222-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONSTEDT",
        "first_name": "MARTHA",
        "middle_name": "ROSS",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LADAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0156121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Gregory Krohnfeldt, DDS
• Irene Krokos, MD
• Benjamin M Kroll, SW
• Catherine Ann Kroll, LISW
• John Krone, LMHC
• Krossroads Integrative Health and Recovery Solutions Inc
• Crystal Krous
• Barbara Krueger, SLP
• Courtney Krueger
• Emma Kathleen Krueger, LMHC

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.